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Essay on psychosurgery
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Neurosurgery used for the treatment of mental illnesses has a vast history with its origin tracing back to the beginning of time. However, psychosurgery, brain surgery in which attempts to correct a mental disorder, was not developed until the mid-20th century (Mashour). During this time, lobotomies, an alteration in nerve tracts of the frontal lobe of the brain, were performed on Americans who were considered mentally ill. Although many health care professionals at that time supported this practice, there were just as many who were concerned about using psychosurgery as a method of treatment to alter an individual’s brain. This concern stemmed from many cases in which the operation was not beneficial to the patient, and the patient’s questionable level of decision making to provide consent for the procedure because of their level of mental impairment. In spite of the adverse effects psychosurgery had on those with psychiatric disorders, it still remains relevant to psychology because its use has now transpired into less harmful and noninvasive therapies. These modernized treatments have proven to increase quality of life for those with mental disorders. In summary, we will explore the figures that were infamously known for performing this procedure, the safety/legal issues surrounding this surgery, the relevance psychosurgery has to psychology today, and the current practices that are used to treat mental illnesses.
In the United States, psychiatric neurosurgery was the main treatment for psychiatric disorders for several decades. Egas Moniz, a Portuguese neurologist, was one of the first to use psychosurgery as a treatment for mental illnesses. He was inspired by Fulton and Jacobson’s frontal cortical ablation on ani...
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...3, 2012 from http://www.nimh.nih.gov/health/topics/psychotherapies/index.shtml
Raz, M. (2008). Between the Ego and the Icepick: Psychosurgery, psychoanalyses, an psychiatric discourse. Bulletin of the History of Medicine, 82, 387-420. The John Hopkins University Press. Retrieved February 23, 2012 from Project MUSE database.
Roberts, L. (2003). Mental Illness and Informed Consent: Seeking and Empirically Derived Understanding of Voluntarism. Medscape. Retrieved March 21, 2012 from http://www.medscape.com/viewarticle/460483
Rodgers, J. (1992). Psychosurgery. Retrieved February 23, 212 from http://m.psychologytoday.com/articles/199203/psychosurgery
Williams, M. (2002). Psychosurgery. The Journal of Perioperative Practice, 12(12), 443-443. Retrieved form http://ezproxy.uwa.edu:2048/login?url=http://search.proquest.com/docview/217765577?accountid=14786
Madness: A History, a film by the Films Media Group, is the final installment of a five part series, Kill or Cure: A History of Medical Treatment. It presents a history of the medical science community and it’s relationship with those who suffer from mental illness. The program uses original manuscripts, photos, testimonials, and video footage from medical archives, detailing the historical progression of doctors and scientists’ understanding and treatment of mental illness. The film compares and contrasts the techniques utilized today, with the methods of the past. The film offers an often grim and disturbing recounting of the road we’ve taken from madness to illness.
"The History of Mental Illness: From "Skull Drills" to "Happy Pills"" RSS. Web. 09 Apr. 2014. .
One of the most famous forms of a cure during the 1930s was a surgery called Lobotomy. “Lobotomy, also known as leucotomy which mean cut/slice white in Greek, or its nickname of ice pick, is a neurosurgical operation that involves severing connection in the brain’s prefrontal lobe” according to Freeman. Lobotomy was performed by
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
Szasz, Thomas. Coercion as Cure: A Critical History of Psychiatry. New Brunswick, New Jersey: Transaction, 2007. Print. Braslow, Joel T. Mental Ills and Bodily Cures: Psychiatric Treatment in the First Half of the Twentieth Century. California: University of California, 1997. Print.
As science has evolved, so have treatments for mental illnesses have over time. The medical model is described as the view that psychological disorders are medical diseases with a biological origin (King, 2010, pg. 413). Abnormal behavior that categorizes some disorders can be impacted by biological factors such as genes, psychological factors such as childhood experiences, and even sociocultural factors such as gender and race (King, 2010). Treatments such as psychosurgery (lobotomy) , drug therapy (pharmaceuticals), electroconclusive therapy, and psychoanalysis are used to treat a wide range of psychological disorders. Back then, the public’s negative views on mental illnesses also went as far to associate with the people who treated it; psychiatrists. “Nunnally (1961) found that the public evaluated professionals who treated mental disorders significantly more negatively than those who treat physical disorders,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). People back then didn’t see the point in “paying to be told that they were crazy”. However, in today’s society, it is now acceptable to seek help from psychiatric professionals; we are seeing more and more people seek mental health treatment. “In terms of facility-based records of utilization (Manderscheid and Henderson 1998), the data suggest that the rate of utilization of professional mental health services has at least doubled and maybe tripled, between the 1950’s and today,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). In the 1950’s, neuroleptic drugs like Thorazine were introduced to treat the symptoms of schizophrenia. These drugs block a neurotransmitter called dopamine from getting to the brain, which in turn reduce schizophrenic symptoms, however there are some side effects such as substantial twitching of the neck, arms, and legs, and even dysphoria or lack of pleasure. (King, 2010, pg.
Moral treatment is a treatment that uses “psychological methods” to treat mental diseases (Packet Two, 26). In general, moral treatment was a relatively benevolent and humane approach to treat mental disorders. Before the introduction of moral treatment, insane people were regarded by the general public as wild animals whose brains were physically impaired and usually incurable (Packet One, 11). Therefore, regardless of patients’ specific symptoms, physicians generally labeled patients as lunatics and treated them with the same method (Packet One, 11). Because of the perceived impossibility of curing mental illness, physicians put far greater emphasis on restraining patients’ potential danger behaviors than striving to bring them back to sanity. Cruel methods such as bloodletting were widely used, but their effectiveness was really poor. Moral treatment was a response to this ineffective and brutal traditional treatment. The advocates of moral treatment insisted that mental diseases were curable. By providing a friendly environment that contributed to reviving, moral treatment could help patients to...
The early history of mental illness is bleak. The belief that anyone with a mental illness was possessed by a demon or the family was being given a spiritual was the reason behind the horrific treatment of those with mental illness. These individuals were placed into institutions that were unhygienic and typically were kept in dark, cave like rooms away from people in the outside world. The institutions were not only dark and gross; they also used inhumane forms of treatment on their patients. Kimberly Leupo, discusses some of the practices that were used, these included may types of electro shocks, submitting patients to ice bath, as well as many other horrific events (Leupo). Lobotomies, which are surgical procedures that cut and scrape different connections in the brain, were very common practice. They were thought to help cure mental illness, but often ended up with more damage than good.
As time goes on, the law has put more emphasis on facility just like Bridgewater State Hospital in which many of the actions of the facility workers can face legal consequences such as facing prison time, fines, lawsuits, and etc. Society has a better understanding of why certain people act the way that they do and being more knowledgeable about psychology and mental diseases allows us to have a different approach when dealing with these topics or these individuals. In today’s era, there are many normal individuals who are willing to stand up for those who do not have a voice of their own. I believe that this change in one’s ability to stand up for another individual or group of individuals is what brought about change to the medical environment of those who are mentally
The treatment involved passing electrical currents through the brain which would trigger a small seizure and ease the symptoms of certain mental illnesses, however the procedure was used without anesthesia and caused the patient to jerk uncontrollably, this treatment would sometimes result in fractures, memory loss, and other side effects. The treatment is still used today, although with much weaker currents and anesthesia. Another popular treatment used in the asylums was the injection of insulin into a patient to induce a coma. This treatment was thought to reset an individual’s brain and bring them back to “normal”, however, insulin coma therapy proved to be not very effective and was phased out in the 1960s. One of the most inhumane treatments for the mentally ill was the lobotomy, or the prefrontal leucotomy. This surgical procedure involved opening a hole in the head to sever nerve pathways in the prefrontal cortex. The lobotomy was performed at least 15,000 times in Britain before being phased out in the late 1950s. Another type of brain surgery discussed in the film, was one done on patient, Maggi Chapman, who underwent a surgery in which an electrode was attached to a part of her brain and then turned on to fry that part of the brain. Maggi goes on to describe how the next few years she felt like a zombie and had a difficult time going through life (BBC,
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
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Although we do not know all there is to know about disorders of the nervous system, I believe that it is very plausible that mental illness is mostly the result of disturbances in the nervous system. Although in extreme situtions, some claim things like, "it reduces a complex human activity to a slice of damaged brain tissue" (4). I wouldn't go this far to assume that this is all there is to it, although I also don't believe that all mental illnesses can fit into the same box. While s...
U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/pdfs/front.pdf
Mental illness, today we are surround by a broad array of types of mental illnesses and new discoveries in this field every day. Up till the mid 1800’s there was no speak of personality disorder, in fact there was only two type of mental illness recognized. Those two illnesses as defined by Dr. Sam Vaknin (2010), “”delirium” or “manial”- were depression (melancholy), psychoses, and delusions.” It was later in 1835 when J. C. Pritchard the British Physician working at Bristol Infirmary Hospital published his work titled “Treatise on Insanity and Other Disorder of the Mind” this opened the door to the world of personality disorder. There were many story and changes to his theories and mental illness and it was then when Henry Maudsley in 1885 put theses theories to work and applied to a patient. This form of mental illness has since grown into the many different types of personality disorder that we know today. Like the evolution of the illness itself there has been a significant change in the way this illness is diagnosed and treated.